THE CANOPY OF AZALEA GROVE
NPI 1275391815
Assisted Living Facility in Valdosta, GA

NPI Status: Active since March 08, 2024

Contact Information

6002 N OAK STREET EXT
VALDOSTA, GA
ZIP 31605
Phone: (850) 712-5566

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  • Organization
  • Assisted Living Facility

About THE CANOPY OF AZALEA GROVE

This page provides the complete NPI Profile along with additional information for The Canopy Of Azalea Grove, a provider established in Valdosta, Georgia operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1275391815 assigned on March 2024. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Marisa Strain Rn (Cco)

NPI
1275391815
Provider Name
THE CANOPY OF AZALEA GROVE
Entity Type
Organization
Location Address
6002 N OAK STREET EXT VALDOSTA, GA 31605
Location Phone
(850) 712-5566
Mailing Address
2573 BARRINGTON CIR TALLAHASSEE, FL 32308
Mailing Phone
(850) 712-5566
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-08-2024
Last Update Date
03-25-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARISA STRAIN RN

Authorized Official Title
CCO
Authorized Official Phone
(850) 712-5566

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275391815
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2214569282
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 6 + 9 + 2 + 8 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1275391815 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750070967 ANDRAEL CHANTAL ROBERTS
Individual
Occupational Therapist (Physical Rehabilitation)6002 N OAK STREET EXT
VALDOSTA, GA 31605
(229) 949-2952
1922889179 SHUNTERIA WILLIAMS
Individual
Occupational Therapist6002 N OAK STREET EXT
VALDOSTA, GA 31605
(210) 210-9906

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275391815, enumerated in the NPI registry as an "organization" on March 08, 2024

The provider is located at 6002 N Oak Street Ext Valdosta, Ga 31605 and the phone number is (850) 712-5566

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

This NPI record was last updated on March 08, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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